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NPI Code Detail

MEDICARE: MARGARET DANNEVIK

MEDICARE: MARGARET DANNEVIK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst2013031959MO

General Provider Information

NPI Number : 1245653740
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARGARET DANNEVIK
Provider Business Mailing Address
First Line : 1260 LAY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63124-1872
Country : US
Telephone Number : 314-435-4063
Fax Number :
Provider Business Practice Location Address
First Line : 1260 LAY RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63124-1872
Country : US
Telephone Number : 314-435-4063
Fax Number :
Authorized Official
Title or Position : BEHAVIOR CONSULTANT
Name : MARGARET DANNEVIK
Credential : BCABA, LABA
Telephone Number : 314-435-4063
Provider Enumeration Date : 02/04/2014
Last Update Date : 02/04/2014

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